Mikayla C Moore
Mikayla C Moore is a Clinical Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
330 E Beltline Ave NE Ste 320Grand Rapids, MI 49506-1267
Phone: (616) 745-8640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 6362009854 (MI) |
|---|
Record details
| NPI number | 1104691781 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 23, 2023 |
| Last updated in NPPES | November 23, 2023 |
| Certification date | November 23, 2023 |
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